Organization Active NPI

Michelle Matzke Therapy, PLLC

Doing business as Healing Blooms Therapy

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1699632976
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MICHELLE MATZKE THERAPY, PLLC
Doing business as
Healing Blooms Therapy
Practice address
6035 N Knoxville Ave Ste 203D
Peoria, IL 61614-3505
Phone
(309) 204-6547
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Matzke, LCPCNPI 1053199612
Title
Therapist/Owner
Phone
(309) 397-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6035 N Knoxville Ave Ste 203D
Peoria, IL 61614-3505

Mailing address

6035 N Knoxville Ave Ste 203D
Peoria, IL 61614-3505
Phone (309) 204-6547

Other names 1

  • Healing Blooms Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6035 N Knoxville Ave
Ste 203D
Peoria, IL 61614
Phone (309) 204-6547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1699632976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 N KNOXVILLE AVE STE 203D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143505",
            "telephone_number": "309-204-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 N KNOXVILLE AVE STE 203D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143505",
            "telephone_number": "309-204-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MATZKE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "MATZKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "309-397-1233",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Blooms Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.